Doctor Name: | SARAH ENZALDO SMITH |
NPI Number: | 1205280229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 6034 |
Business Practice Address: | 214 Saint James Ave Ste 140b Goose Creek, SC - 294452974 |
Business Phone Number: | 8437934466 |
Business Fax Number: | 8437943786 |
Mailing Address: | 214 Saint James Ave Ste 140b, GOOSE CREEK |
State: | SC |
Postal Code: | 294452974 |
Phone Number: | 8437934466 |
Fax Number: | 8437943786 |
NPI Enumeration Date: | 04/15/2016 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 6034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |